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<head><meta charset="utf-8" /><meta http-equiv="X-UA-Compatible" content="IE=edge" /><meta name="viewport" content="width=device-width, initial-scale=1" /><link rel="stylesheet" href="http://code.jquery.com/mobile/1.3.2/jquery.mobile-1.3.2.min.css" />
    <script src="http://code.jquery.com/jquery-1.8.3.min.js"></script>
    <script src="http://code.jquery.com/mobile/1.3.2/jquery.mobile-1.3.2.min.js"></script>
    <title>
        外来人员服务评价
    </title>
    <script>
        $(function () {
        });
    </script>
</head>
<body>
    <form name="form1" method="post" action="default.aspx" id="form1">
        <div>
            <input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE" value="/wEPDwULLTEyMTcwODQ1NzhkZKZEZJTIsv2A5ulRrD3xwxX+e7APNnlDztNaHBLszFHK" />
        </div>
        <div>
            <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="542EC703" />
        </div>
            <div data-role="collapsible" data-collapsed="false">
                <h1>基础信息</h1>
                <label for="empName">服务对接人姓名：</label>
                <input type="text" name="empName" class="validate" id="empName">
                <label for="empTel">对接人电话：</label>
                <input type="text" name="empTel" id="empTel">
                <fieldset data-type="horizontal" data-role="controlgroup">
                    <legend>服务内容：</legend>
                    <label for="装车">装车</label>
                    <input type="radio" name="serCont" id="装车" value="装车">
                    <label for="卸车">卸车</label>
                    <input type="radio" name="serCont" id="卸车" value="卸车">
                    <label for="退货">退货</label>
                    <input type="radio" name="serCont" id="退货" value="退货">
                </fieldset>
            </div>
            <div data-role="collapsible" data-collapsed="false">
                <h1>服务评价内容</h1>
                <fieldset data-type="horizontal" data-role="controlgroup">
                    <legend>1.您抵达公司后多长时间后工作人员与您对接？</legend>
                    <label for="10min">10min</label>
                    <input type="radio" name="a1" id="10min" value="10min">
                    <label for="20min">20min</label>
                    <input type="radio" name="a1" id="20min" value="20min">
                    <label for="30min">30min</label>
                    <input type="radio" name="a1" id="30min" value="30min">
                    <label for="无">无</label>
                    <input type="radio" name="a1" id="无" value="无">
                </fieldset>
                <fieldset data-type="horizontal" data-role="controlgroup">
                    <legend>2.您对我公司提供的装/卸车及现场调度工作是否满意？</legend>
                    <label for="a21">满意</label>
                    <input type="radio" name="a2" id="a21" value="满意">
                    <label for="a22">不满意</label>
                    <input type="radio" name="a2" id="a22" value="不满意">
                </fieldset>
                <fieldset data-type="horizontal" data-role="controlgroup">
                    <legend>3.您对公司工作人员服务态度是否满意？</legend>
                    <label for="a31">满意</label>
                    <input type="radio" name="a3" id="a31" value="满意">
                    <label for="a32">不满意</label>
                    <input type="radio" name="a3" id="a32" value="不满意">
                </fieldset>
                <fieldset data-type="horizontal" data-role="controlgroup">
                    <legend>4.工作人员为您装/卸车的时间周期是多少？</legend>
                    <label for="a41">1小时</label>
                    <input type="radio" name="a4" id="a41" value="1小时">
                    <label for="a42">2小时</label>
                    <input type="radio" name="a4" id="a42" value="2小时">
                    <label for="a43">3小时</label>
                    <input type="radio" name="a4" id="a43" value="3小时">
                    <label for="a44">4小时</label>
                    <input type="radio" name="a4" id="a44" value="4小时">
                </fieldset>
                <fieldset data-type="horizontal" data-role="controlgroup">
                    <legend>5.公司工作人员是否提醒您在公司用餐或发放餐券？</legend>
                    <label for="a51">有</label>
                    <input type="radio" name="a5" id="a51" value="有">
                    <label for="a52">无</label>
                    <input type="radio" name="a5" id="a52" value="无">
                </fieldset>
                <label for="opinion">欢迎您对我公司提出宝贵的意见及建议：</label>
                <textarea name="opinion" id="opinion"></textarea>
                <input type="submit" value="提交">
            </div>
    </form>
</body>
</html>
